Neonatal Drug Withdrawal

(Neonatal Abstinence Syndrome)

Definition

Neonatal drug withdrawal occurs when a baby who has been exposed to drugs in the uterus develops withdrawal symptoms. This occurs because the baby is no longer exposed to the drug the mother was taking. This condition can be caused by medications, alcohol, and illegal drugs. It can take weeks to months for a baby to fully withdraw from a drug. Without treatment, this can be a life-threatening condition. If you used drugs during your pregnancy, tell your doctor right away. Your baby can be tested and treated after delivery.

Diagnosis

The doctor will examine your baby based on their symptoms and your medical and drug history. To diagnose your baby correctly, the doctor needs to know what drug you took during pregnancy, how much was taken, and how often. Your baby will have a physical exam.

Your baby's bodily fluids, tissues, and waste products will be tested. This can be done with:

Urine tests

Blood tests

Hair tests

Stool tests

Your baby's bodily structures may need to be viewed. This can be done with x-rays.

Treatment

Treatment options include the following:

Close Monitoring

The baby may need to stay in the hospital to be closely monitored for:

Signs of seizures

Difficulty breathing

Other serious withdrawal symptoms

Medications

The baby may be given medications to help during withdrawal. Medications will differ based on the drug from which the baby is withdrawing.

Supportive Care

The baby may need IV fluids, oxygen, high-calorie formula, tube-feeding, or other support.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Can we help answer your questions?

Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.